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General NPI Number Information
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NPI Number | 1225255540
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Entity Type | Organization
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Legal Business Name | DR. LEE S. BARBACH, P.A.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 1125 NE 125TH ST SUITE 100
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5034
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Country | US
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Telephone | 305-932-5505
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Fax | 305-792-6410
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Provider Business Mailing Address
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Address Line | 2940 NE 188TH ST # 111
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City | AVENTURA
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State | FL
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Zip | 33180-2911
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Country | US
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Telephone | 305-932-5505
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Fax | 305-792-6410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEE S. BARBACH
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Credential | D.C.
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Telephone | 305-932-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2957
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License Number State | FL
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